Individual
MR. COADY NICHOLAS DIRUTIGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8305
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004973RX
OH
Other
Enumeration date
02/20/2017
Last updated
04/26/2017
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